Entry Application September Exhibition 2024

Conditions of Entry

Please read the terms and conditions available here: CONDITIONS OF ENTRY

Last Name*

First Name*

Phone Number*

Email Address*

Entry No. 1

Title (Entry 1)

Price (Entry 1)

Category (Entry 1)

Medium - Category 1 (Entry 1)

Medium - Category 2 (Entry 1)

Medium - Category 3 (Entry 1)

Medium - Category 4 (Entry 1)

Entry No. 2

Title (Entry 2)

Price (Entry 2)

Category (Entry 2)

Medium - Category 1 (Entry 2)

Medium - Category 2 (Entry 2)

Medium - Category 3 (Entry 2)

Medium - Category 4 (Entry 2)

Entry No. 3

Title (Entry 3)

Price (Entry 3)

Category (Entry 3)

Medium - Category 1 (Entry 3)

Medium - Category 2 (Entry 3)

Medium - Category 3 (Entry 3)

Medium - Category 4 (Entry 3)

Entry No. 4

Title (Entry 4)

Price (Entry 4)

Category (Entry 4)

Medium - Category 1 (Entry 4)

Medium - Category 2 (Entry 4)

Medium - Category 3 (Entry 4)

Medium - Category 4 (Entry 4)

Total Entries

Number of Entries*

Number of Entries *

Please enter a number from 1 to 4.

Fees Payable

Payment

Have fees been paid?*

Yes

Payment Method

Paid by Direct Deposit

Paid by Cheque

Bank Details

Bank: Westpac
BSB: 032151
Account: 244092
ID your payment with ME followed by your surname, then your initial, eg: MESmith for John Smith.

Cheques should be made out to:
Oatley 101 Society of Artists Inc
and posted to Julie Izzard PO Box 161, Beverly Hills 2209 NSW
Email: julie.oatley101treasurer@gmail.com

Hidden

EFT Reference

Statement by Supplier or ABN?

A Statement by Supplier (from Australian Taxation Office) or an ABN MUST BE PROVIDED
If you do not have a Statement by a Supplier Form go to Statement of Supplier to download one.

Statement of Supplier*

Proceeds from Sale of Paintings

To be paid by direct deposit